CADC Counseling Theories and Models 2 — Questions and Answers
Question 1: In Motivational Interviewing, which technique involves reflecting back an exaggerated version of the client's statement to elicit self-correction?
- Double-sided reflection
- Amplified reflection (Correct answer)
- Simple reflection
- Reframing
Correct answer: Amplified reflection
Amplified reflection overstates the client's position, often prompting them to moderate their stance and voice their own reasons for change.
Question 2: Which stage of the Transtheoretical Model is characterized by a client who says, 'I've been thinking about quitting for a while but I'm not ready yet'?
- Precontemplation
- Contemplation (Correct answer)
- Preparation
- Action
Correct answer: Contemplation
Contemplation involves ambivalence and awareness of a problem but no firm commitment to change within a specific timeframe.
Question 3: Reality Therapy is based on which foundational concept developed by William Glasser?
- Unconscious drives and defense mechanisms
- Choice Theory and meeting basic needs (Correct answer)
- Irrational beliefs and cognitive distortions
- Conditioned responses and reinforcement
Correct answer: Choice Theory and meeting basic needs
Reality Therapy is grounded in Choice Theory, which holds that all behavior is chosen to satisfy five basic needs: survival, love/belonging, power, freedom, and fun.
Question 4: A counselor using Gestalt therapy asks a client to speak directly to an empty chair representing their deceased parent. This technique is called:
- Role reversal
- Empty chair technique (Correct answer)
- Flooding
- Mirroring
Correct answer: Empty chair technique
The empty chair technique allows clients to externalize and dialogue with significant people or parts of themselves to resolve unfinished business.
Question 5: In Cognitive-Behavioral Therapy, 'all-or-nothing thinking' is an example of which concept?
- Core belief
- Cognitive distortion (Correct answer)
- Automatic thought trigger
- Schema activation
Correct answer: Cognitive distortion
Cognitive distortions are irrational thinking patterns that skew perception; all-or-nothing thinking is one of the most common distortions identified in CBT.
Question 6: According to Bowlby's Attachment Theory, which attachment style is most commonly associated with adults who experienced inconsistent caregiving and show both desire for and fear of intimacy?
- Secure
- Avoidant
- Anxious-preoccupied (Correct answer)
- Disorganized
Correct answer: Anxious-preoccupied
Anxious-preoccupied attachment develops from inconsistent parental availability, creating hyperactivation of the attachment system and ambivalence in relationships.
Question 7: Which theoretical framework emphasizes the role of cultural, social, and environmental factors as root causes of substance use disorders rather than individual pathology?
- Disease Model
- Moral Model
- Sociocultural Model (Correct answer)
- Psychodynamic Model
Correct answer: Sociocultural Model
The Sociocultural Model attributes substance use to external stressors such as poverty, discrimination, peer norms, and lack of resources rather than individual deficits.
In Motivational Interviewing, which technique involves reflecting back an exaggerated version of the client's statement to elicit self-correction?